Individual provider Active NPI

Jennifer Berent, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1114397338
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68796 Issued in TX
Practice address
2300 Circle Dr
Suite 2307
Fort Worth, TX 76119-8134
Phone
(817) 313-1385
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 68796 TX Primary

Addresses

Primary practice location

2300 Circle Dr
Suite 2307
Fort Worth, TX 76119-8134

Mailing address

2300 Circle Dr
Suite 2307
Fort Worth, TX 76119-8134
Phone (817) 313-1385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68796TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guinn Healthcare Technologies, LLC Professional PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1114397338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CIRCLE DR",
            "address_2": "SUITE 2307",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198134",
            "telephone_number": "817-313-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CIRCLE DR",
            "address_2": "SUITE 2307",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198134",
            "telephone_number": "817-313-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENT",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.